New York State Emergency Medical Technician (EMT) Practice Exam

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What is the recommended action for a patient with a splinter embedded in the cornea?

  1. Scrape the splinter away with moist, sterile gauze

  2. Cover his right eye and flush the left eye with saline

  3. Cover both of his eyes and transport to the hospital

  4. Remove the object with a cotton-tipped applicator

The correct answer is: Cover both of his eyes and transport to the hospital

For a patient with a splinter embedded in the cornea, the appropriate action is to cover both eyes and transport the patient to a hospital or suitable medical facility. Covering both eyes is crucial because it helps to prevent additional movement of the eye, which can worsen the injury or cause further damage to the cornea. When a foreign object is embedded in the eye, it's vital to avoid any attempts at removing it on-site, as this could lead to complications such as abrasion or perforation of the eye. By securing the injured eye and also covering the uninjured eye, you can reduce the risk of sympathetic movement and discomfort, allowing for proper medical evaluation and treatment in a controlled environment. This approach acknowledges the serious nature of ocular injuries and emphasizes the importance of professional medical intervention, adhering to best practices for patient safety.